Geneva, Switzerland, September 2012 Business Perspectives and Public Private Partnerships in m-Health industry: How Telecom Industry Can Contribute Nicole Hill, Global HealthCare Sector Director, EMEA Alcatel-Lucent ITU Experts Group Meeting on m-Health: Towards Better Care, Cure and Prevention in Europe Geneva, Switzerland, September 2012

2 Agenda Mhealth Market Readiness The Perfect Storm ? How To Ramp Up & Scale Acknowledge Value Chains Public & Private Stakeholders Federated Framework / Label : HS2 How Industry Players Like Alcatel- lucent Can Contribute Geneva, Switzerland, September 2012

Yes, There Is A Market Opportunity: La Lettre de lAssurance (F): un marché de 250 à 500 Mds Lindustrie de la santé est lun des secteurs pouvant bénéficier le plus dun apport numérique, que ce soit au plan du corps médical ou de celui du patient. En donnant accès à de plus en plus dinformations en temps réel, les technologies numériques permettent de produire des indicateurs à partir de capteurs et les systèmes dinformations ont désormais la capacité dinterpréter des données. LE-santé recouvre aussi bien la télémédecine, le maintien à domicile que les applications jusquà la domotique. Il y a aujourdhui un réel consensus parmi les acteurs de la santé, médecins, hôpitaux, industriels

Global Telemedicine Market

The Perfect Storm ? 5 Tablets Smartphones Mobile App Users High Speed Broadband Decline in Physician Numbers Advanced Analytics Rising Costs Source UPMC CIO Dan Drawibaugh State of the Internet… Mobile Will Be Bigger Than Desktop Internet in less than 5 Years Can We Make it really happen ?

How to Get There: Segments B2B2C & B2C Secondary Care Stakeholders Hospital has 2 main processes Clinical/Therapeutic Patient Stay (admin & financial) In-patient & Out-patient Other stakeholders Payers, Health Authorities (national/regional), … Labs, Pharmacies, ER, … Secondary Care Stakeholders Hospital has 2 main processes Clinical/Therapeutic Patient Stay (admin & financial) In-patient & Out-patient Other stakeholders Payers, Health Authorities (national/regional), … Labs, Pharmacies, ER, … Secondary Care Solutions Hospital/Clinics solutions Connected Hospitals Extending Hospital premices Virtual clinic Tele-consultation, tele-expertise, tele- assistance, RPM for out-patient Cloud Secondary Care Solutions Hospital/Clinics solutions Connected Hospitals Extending Hospital premices Virtual clinic Tele-consultation, tele-expertise, tele- assistance, RPM for out-patient Cloud Primary Care Stakeholders Multiple decision makers from various entities Local authorities Helpers: family & professionals GPs, Pharmacies, labs, primary care, paramedics, specialists, assisted living, … + Employers Process & care services Home care Well-being Primary Care Stakeholders Multiple decision makers from various entities Local authorities Helpers: family & professionals GPs, Pharmacies, labs, primary care, paramedics, specialists, assisted living, … + Employers Process & care services Home care Well-being Primary Care Solutions ALU contributes Teleconsult, Remote clinics Social link for elderly mLearning for HC (mHealth) Cloud Primary Care Solutions ALU contributes Teleconsult, Remote clinics Social link for elderly mLearning for HC (mHealth) Cloud customer B2B2x Complex customers B2B2x2C

Creating Labels Frameworks to set fertile Ground for Industry HS2 Haute Sécurite Santé Climate Energy Transportation Water HQE Security Socia l Solidarity Environment HC/Social Economic Development

Alcatel-Lucent…Introducing New Opportunities & Business Models Quality Outcomes, Experience, Environment Quality Outcomes, Experience, Environment Access Right Resources, Right Time, Right Medium Access Right Resources, Right Time, Right Medium Costs Lower Costs Without Compromising Patient Safety Source UPMC

Alcatel-Lucent mHealth Business Architecture Technical Admin & financial Clinical & Care interactions Device Management OAM Workflows, Business logics OSS / BSS EMR / EHR / EPR Home GW mPhone GW Medical Devices Helpers Family & friends Patients End-to-end Service Delivery Coms &Collaboration Service Delivery Platform Logistics Users User Devices Payers HLN, LTE & Broadband Motive MNC VAYU Mazasoo

DJSI leader in the Communication Technology sector Promoting Digital Inclusion with governments & international organizations (WEF, UN, World Bank, OECD etc) Our Innovation – High Leverage Network enabling our vision of a connected world R&D Bell Labs research on digital inclusion and social/economic impact of Broadband Alcatel-Lucent Foundation and philanthropy focused on education Digital Inclusion Is A Pillar Of Our Strategy Alcatel-Lucent has a strong wish to engage in a Social Innovation initiative which fits our Digital Inclusion strategy

Patient Centered Telemedicine Platform : VAYU Clinics Hospitals Virtual Exam Room – Web based Patient Session Patient Homes Vehicles Vayu-VCC Platform

Innovative Telemedicine Applications Single platform supporting many applications Tele-stroke Virtual rounds Remote patient monitoring Tele- ophthalmolog y Tele- ophthalmolog y Remote clinic On-site/ employee clinics Wound care Tele- psychiatry Virtual ICU Tele- dermatology

Mazadoo : Elderly Social Link Aidants Proches Serveur Applicatif Mazadoo Internet Fournisseurs de contenus Plateforme de service TNT Plateforme de communication ALU

Our Approach Start Small And Expand Fast mHEALTH Health Workers Patients mLEARNING applications for Health Workers mDONATION mLEARNING platform with SMS based services for CHWs, Nurses, Midwives

mBOX: MORE THAN JUST A mLEARNING PLATFORM One Single Platform That Has The Flexibility To Easily Evolve Over Time To Deliver mLEARNING services mHEALTH services mBanking mTicketing mCouponing Services

An Easy-To-Use Mlearning Platform … The classic symptoms of active Tuberculosis (TB) infection are a chronic cough with blood-tinged sputum, fever, night sweats, and weight loss. TB typically attacks the lungs but can also affect other parts of the body. Create your session on our mLearning platform and write your lesson Your students receive it by SMS instantaneously

The PRAEKELT Foundation in Africa is sending a million SMS per day such as for ex: HIV positive and scared to tell your partner? For help please call the AIDS helpline The foundation sent 500 billion messages in seven languages in the last 2 years and generated 1.5 million calls to the National AIDS helpline. As a matter of fact the National AIDS helpline crashed when they did the first launch. Expand To Mhealth Applications And Services Even simple SMS-based campaigns can make a big difference

Provide automated, real- time behavioral patient coaching Medications management Clinical decision support Communication with care providers Example: Manage Diabetes Easier THE CHALLENGE Diabetes is a major public health problem in Africa. The International Diabetes Federation says that diabetes cases in sub-Saharan Africa will double by 2030, affecting 24 million people. In the US, The patients using a demonstration project for an average of 12 months reduced their Emergency Room visits and hospital stays by 58% compared to the 12 months prior to the program.

THE CHALLENGE With 800 illegal products circulating the global market with a value of close to $200bn, counterfeit drugs are costing both the pharmaceutical industry billions and the people who take them their health. In some sub-Saharan African countries the proportion of fakes in the market is close to 50%. 700,000 people die annually from fake malaria and tuberculosis drugs alone. Check The Veracity Of Medicines

Malaria Detection By Blood Picture snap a photo of a blood sample…and determine if its affected with malaria THE CHALLENGE African countries still shoulder 91% of the nearly 781,000 malaria death (85% are children). Every day in Africa for example, nearly 3,000 children under the age of five die from malaria.

9.4 km 83 km 0.4 km 2.1 km 6.5 km Consolata Hospital IHURURU ROAD NYERI 9.4 km Tel: ITINERARY Provide Geo-localized Services Where is the nearest Hospital around me?

Conclusions and Recommendations Stakeholders Readiness Growing Doctors, nurses, Patients, Public Health Authorities (European)Industry readiness Provides native scaling engines Business Models are key 22 Geneva, Switzerland, September 2012 Engage now